SBH-Madison LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

SBH-MADISON LLC

Doing business as

Miramont Behavioral Health

Practice address

3169 Deming Way
Middleton, WI 53562-1435

Phone

(901) 969-3100

NPI assigned

Oct 5, 2020

Last updated

Jun 25, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Steve Hinkle

Title

General Counsel & Secretary

Phone

(615) 637-7218

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Miramont Behavioral Health Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003413816. Details of each certification follow.

• CCN 524042 Hospital · Active · Details

Hospital certification: CCN 524042

Legal name

SBH-MADISON LLC

Doing business as

MIRAMONT BEHAVIORAL HEALTH

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Nov 22, 2021

Last certification

Nov 22, 2021

Beds

72

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Enrollment address

3169 Deming Way
Middleton, WI 53562-1435
Main/Primary Hospital Location

Hospital subgroups

Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• SBH-Madison LLC

  • Psychiatric Hospital
  • Middleton, WI
  • NPI 1023884871

  7113327834

  Same PAC ID

Listed as

Miramont Behavioral HealthCCN 524042 · All quality measures

Type

Psychiatric

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

Tax ID family

SBH-Madison LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• SBH-Madison LLC

  • Psychiatric Hospital
  • Middleton, WI
  • NPI 1023884871
  NPD tax ID
• SBH-Madison LLC

  dba Miramont Physician Group

  • Psychiatry Physician
  • Middleton, WI
  • NPI 1265189013
  NPD tax ID

Locations

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• SBH-Green Bay LLC

  dba Willow Creek Behavioral Health

  • Psychiatric Hospital
  • Green Bay, WI
  • NPI 1922556778

  PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

  CMS ownership
• Garner Behavioral Hospital, LLC

  dba Raleigh Oaks Behavioral Health

  • Psychiatric Hospital
  • Garner, NC
  • NPI 1588319503

  PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

  CMS ownership
• SBH Colorado LLC

  dba Peak View Behavioral Health

  • Psychiatric Hospital
  • Colorado Springs, CO
  • NPI 1659524486

  PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

  CMS ownership
• SBH El Paso, LLC

  dba Peak Behavioral Health

  • Psychiatric Hospital
  • Santa Teresa, NM
  • NPI 1053652438

  PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

  CMS ownership
• SBH-Davenport, LLC

  dba Eagle View Behavioral Health

  • Psychiatric Hospital
  • Bettendorf, IA
  • NPI 1831720556

  PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

  CMS ownership
• SBH-Kingsport

  dba Creekside Behavioral Health

  • Psychiatric Hospital
  • Kingsport, TN
  • NPI 1174038749

  PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

  CMS ownership
• SBH-Wilmington LLC

  dba Carolina Dunes Behavioral Health

  • Psychiatric Hospital
  • Leland, NC
  • NPI 1639357429

  PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

  CMS ownership
• Strategic BH-Brownsville LLC

  dba Palms Behavioral Health

  • Psychiatric Hospital
  • Harlingen, TX
  • NPI 1154782548

  PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

  CMS ownership
• Summit BHC West Virginia LLC

  dba Highland Hospital

  • Psychiatric Hospital
  • Charleston, WV
  • NPI 1427672336

  PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

  CMS ownership
• The Pavilion at Williamsburg Place, Inc.

  dba The Pavilion at Williamsburg Place

  • Psychiatric Hospital
  • Williamsburg, VA
  • NPI 1427326289

  PSC Sperry Buyer LLC, SBHC Holdings LLC, Sperry Holdco LLC, Summit Behavioral Healthcare LLC, Summit Behavioral Holdings I LLC, Summit Behavioral Holdings LLC

  CMS ownership

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Marie Brown, APNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Green Bay, WI
  • NPI 1891047460
  NPD (past)
• Khalid I Chaudhry, M.D.

  • Psychiatry Physician
  • Fond Du Lac, WI
  • NPI 1104921766
  NPD (past)
• Haley Decero, NP

  • Family Nurse Practitioner
  • Madison, WI
  • NPI 1609478908
  NPD (past)
• Michael Lam, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wauwatosa, WI
  • NPI 1750008827
  NPD (past)
• Yogesh C Pareek, M.D.

  • Psychiatry Physician
  • Green Bay, WI
  • NPI 1093930067
  NPD (past)
• Thomas Renk, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Green Bay, WI
  • NPI 1023713039
  NPD (past)
• Sandra Miyakawa, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gardena, CA
  • NPI 1184488488
  NPD (past)
• Deepak Rajpoot, MD

  • Psychiatry Physician
  • Riverside, CA
  • NPI 1093942864
  NPD (past)
• Cade Benjamin Woolsey

  • Nurse Practitioner
  • Park City, UT
  • NPI 1669822391
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1003413816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 DEMING WAY",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621435",
            "telephone_number": "608-716-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3169 DEMING WAY",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621435",
            "telephone_number": "901-969-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N14W24200 Tower Pl",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531881148",
            "country_code": "US",
            "telephone_number": "615-637-7157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 E Decorah Rd",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530954313",
            "country_code": "US",
            "telephone_number": "608-690-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SBH-MADISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "GENERAL COUNSEL & SECRETARY",
        "authorized_official_telephone_number": "615-637-7218"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3535",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3340",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miramont Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miramont Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanctuary Home Care LLC
• Stacey Renee Sandbo, NP
• Carin Sandeman
• Ekta H Sanghavi
• Clarisse Paule Sanon
• SBH-Madison LLC
• SBH-Madison LLC (Miramont Physician Group)
• Crystal Sue Schaaf, M.S., OTR/L
• Walton Orvyl Schalick III, MD PHD
• Kathleen Schifano, LPC

• Psychiatric Hospital in Middleton, WI
• Providers in Middleton, WI by specialty
• Psychiatric Hospital in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.